Precert/Referral Coordinator - Gastro - Full-Time

Erlanger•Chattanooga, TN

20h

About The Position

Provides patient and customer service activities within a physician practice, including liaison work with other physicians’ offices, insurance companies, and external departments. Greets patients and other customers, answers and screens telephone calls, enters phone messages into the EMR, schedules patient appointments, prepares medical records, and connects patients with medical support staff. Performs general office duties such as data entry, filing, and balancing charges and collections at the end of each day. Obtains insurance pre-certifications and pre-authorizations for procedures and medications, and schedules specialist referrals using the referral proxy and fax system. This position participates in a team-based approach to care. The coordinator is trained and assigned, in accordance with role responsibilities and State of Tennessee/Georgia guidelines, to coordinate patient care; support patients, families, and caregivers with self-management, self-efficacy, and behavior change; and help manage the practice’s patient population. The position also participates in the practice’s quality improvement process and performance evaluation. Performs other duties as assigned.

Requirements

High school diploma or equivalent.
Previous experience in a health or medical setting.
Previous experience understanding insurance plans and referrals, pre-authorizations, appointment scheduling, data entry, and deposits.
Computer experience with MS Windows, Outlook, and medical software applications.

Nice To Haves

At least two years of experience in a physician’s practice.
Knowledge of medical billing, including CPT and ICD-9 and ICD-10 coding.

Responsibilities

Greet patients, the public, and internal and external customers.
Answer and screen telephone calls and enter phone messages into the EMR system.
Schedule patient appointments in FlowCast.
Prepare medical records and serve as a liaison between patients and medical support staff.
Perform general office duties, including data entry, filing, and balancing charges and collections at the end of each day.
Obtain insurance pre-certifications and pre-authorizations for procedures and medications.
Schedule specialist referrals using the referral proxy and fax system.
Coordinate patient care and support patients, families, and caregivers with self-management, self-efficacy, and behavior change, as assigned.
Help manage the practice’s patient population, as assigned.
Participate in the practice’s quality improvement process and performance evaluation.
Perform other duties as assigned.